EP0988865A2 - Appareil pour réguler la température d'un instrument chirurgical - Google Patents

Appareil pour réguler la température d'un instrument chirurgical Download PDF

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Publication number
EP0988865A2
EP0988865A2 EP99123494A EP99123494A EP0988865A2 EP 0988865 A2 EP0988865 A2 EP 0988865A2 EP 99123494 A EP99123494 A EP 99123494A EP 99123494 A EP99123494 A EP 99123494A EP 0988865 A2 EP0988865 A2 EP 0988865A2
Authority
EP
European Patent Office
Prior art keywords
temperature
handpiece
aspiration conduit
surgical
conduit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP99123494A
Other languages
German (de)
English (en)
Other versions
EP0988865A3 (fr
Inventor
Richard J. Mackool
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0988865A2 publication Critical patent/EP0988865A2/fr
Publication of EP0988865A3 publication Critical patent/EP0988865A3/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/74—Suction control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A61B2017/00123—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation and automatic shutdown
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/74—Suction control
    • A61M1/75—Intermittent or pulsating suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3368—Temperature

Definitions

  • This invention relates to an apparatus and method which controls the rate of fluid flow through a closed or partially closed hydraulic system.
  • the apparatus controls the rate of fluid flow at a surgical site, thus preventing the occurrence of a fluid surge, the sudden increase of vacuum within a surgical cavity, and the collapse of the cavity.
  • the collapse of the cavity leads to severe damage of the delicate structures within the surgical cavity, such as an iris, cornea or lens capsule which surround the human lens in the case of eye surgery involving cataract removal, or the walls of the human gallbladder or ureter in the case of stone removal, or the walls of the human arteries in the case of arterial plaque removal, or the lining of joints in the case of tissue removal.
  • a fluid surge at the surgical cavity generally occurs when an obstruction is suddenly released or when trapped air creates uncontrolled aspiration forces within the aspiration conduit.
  • the pump employed by the system continues to operate, thereby increasing the vacuum in the pre-pump conduit.
  • a fluid surge develops and travels from the surgical cavity into the aspiration conduit.
  • the fluid surge is caused by the decrease in vacuum and a rebound of the aspiration conduit, which had partially collapsed in response to the vacuum within it.
  • a fluid surge may be caused by the sudden contraction of air within the aspiration conduit upon release of an obstruction, when such air had previously expanded during obstruction of the aspiration conduit.
  • the elasticity of the aspiration conduit as well as the air spaces within the container used for collection and/or air introduced into the system during operation may act to create forces which may collapse or expand the conduit and thereby create undesirable, uncontrolled aspiration forces within the system. This can result in periods of undesirable and dangerously increased flow through the aspiration system, with subsequent loss of pressure within the surgical cavity causing collapse of the cavity.
  • the invention's object is to prevent a fluid surge from occurring during aspiration from a surgical cavity which would result in the collapse of the cavity. This is accomplished by occluding the aspiration conduit and/or reversing the flow at some portion of the aspiration system.
  • the invention embodies an aspiration conduit, which may extend from a surgical handpiece into a collection container, and a pump, which reverses rotation upon receiving an electric signal from a logic console which receives information from a pressure transducer of a sudden decrease in vacuum (increase in pressure) in the pre-pump aspiration conduit.
  • the function of the logic console is to monitor pressure changes within the aspiration conduit as a function of time.
  • the rate of vacuum change within the system can be constantly monitored. Should the rate of vacuum loss exceed a predetermined rate, the logic console would send an electronic signal to the pump which in turn would reverse rotation at a rate and duration which are predetermined and may be programmable, i.e. the rate and/or duration of pump reversal could be proportional to the rate of vacuum loss.
  • Another mechanism which may be employed to prevent a fluid surge, and which mechanism may be used with or without simultaneous pump reversal, is the following.
  • the logic console Upon determining that a sudden decrease of vacuum within the pre-pump aspiration conduit has developed, the logic console sends an electronic signal to an electromechanically operated valve situated at the aspiration conduit at a location which is within or in close proximity to the surgical handpiece.
  • the valve acts to compress or otherwise occlude the aspiration conduit, thus immediately terminating the removal of tissue or fluid from the surgical site.
  • the logic console Upon the receipt of electronic information from the pressure transducer that vacuum levels within the aspiration conduit have been reduced to a predetermined level and/or that elimination of the rapid decrease in vacuum within the aspiration conduit by either the aforementioned pump reversal, aspiration conduit obstruction, or by standard venting means have been accomplished, the logic console would deliver an electric signal to the electromechanical system responsible for occlusion of the aspiration conduit, and such obstruction would be relieved by opening of the valve mechanism.
  • the flow control apparatus of the invention is adaptable to any surgical instrument which is used to aspirate tissues and/or fluids from the body.
  • fluid and/or material is drawn from the surgical cavity via a surgical handpiece 10 through the aspiration fluid conduit 1 by the pump 2 and is discharged into a collection container 11.
  • a peristaltic pump 2 is preferred, but not required in this invention, because of its lack of contamination, good controllability, and high suction capability.
  • the pump 2 simulates a ferris wheel, rotating and containing sequential protuberances which squeeze the aspiration fluid conduit 1, thereby creating vacuum and flow.
  • Other pumps capable of causing a reversal of fluid flow to occur, such as a scroll pump, may also be used.
  • a pressure transducer 3 constantly monitors pressure within the aspiration conduit 1, and thereby senses any fluctuations of vacuum, which always occur in the development of a fluid surge within said conduit.
  • the transducer relays such information to the logic console 4 which monitors the rate of pressure change as a function of time.
  • the logic console can be any conventional logic console now available on the market and well known to those skilled in the art. At the moment the rate of vacuum loss reaches or exceeds a pre-determined value, the logic console 4 generates an electric signal which is relayed to the pump 2. The electric signal may be proportional to the rate of change in the vacuum level.
  • a signal that the rate of vacuum loss has exceeded a predetermined level may be sent from the logic console to an electromechanical control valve 5 situated at or near the surgical handpiece. This valve would then be activated, compressing or otherwise occluding the aspiration conduit.
  • the logic console Upon the receipt of electronic information from the pressure transducer that vacuum levels within the aspiration conduit have been reduced to a predetermined level and/or that elimination of the rapid decrease in vacuum within the aspiration conduit by either the aforementioned pump reversal, aspiration conduit obstruction, or by standard venting means have been accomplished, the logic console would deliver an electric signal to the pump 2 which may thereby reverse to its normal rotation and/or to the electromechanical system responsible for occlusion of the aspiration conduit, whereby such obstruction would be relieved by opening of the valve mechanism.
  • the apparatus may be used in conjunction with an ultrasonic surgical handpiece 24, which reduces the material removed from the surgical cavity to a suitable size for aspiration purposes, and an ultrasonic generator 25 for powering the surgical handpiece 24.
  • thermocouple 29 In employing an ultrasonic surgical handpiece 24, a thermocouple 29 and a thermostat 28 may be used.
  • the thermocouple 29 will sense the temperature at a selected point of the handpiece, and will relay a signal to the thermostat 28 of such reading.
  • the thermostat 28 will determine when the thermocouple relayed information indicates that the temperature has reached a maximum, predetermined limit.
  • the thermostat will then send a signal to the ultrasonic generator 25 to terminate its power to the surgical handpiece 24, thus preventing the development of a dangerously high temperature at the site, which might otherwise damage the surrounding tissues.
  • the system of Fig.2 can be used with the system of Fig.1.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • External Artificial Organs (AREA)
EP99123494A 1995-04-11 1996-04-10 Appareil pour réguler la température d'un instrument chirurgical Withdrawn EP0988865A3 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US419817 1989-10-11
US08/419,817 US5569188A (en) 1995-04-11 1995-04-11 Apparatus for controlling fluid flow through a surgical instrument and the temperature of an ultrasonic instrument
EP96912678A EP0959909A1 (fr) 1995-04-11 1996-04-10 Appareil pour reguler le debit de fluide dans un instrument chirurgical et pour reguler sa temperature

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
EP96912678A Division EP0959909A1 (fr) 1995-04-11 1996-04-10 Appareil pour reguler le debit de fluide dans un instrument chirurgical et pour reguler sa temperature

Publications (2)

Publication Number Publication Date
EP0988865A2 true EP0988865A2 (fr) 2000-03-29
EP0988865A3 EP0988865A3 (fr) 2000-05-17

Family

ID=23663886

Family Applications (2)

Application Number Title Priority Date Filing Date
EP99123494A Withdrawn EP0988865A3 (fr) 1995-04-11 1996-04-10 Appareil pour réguler la température d'un instrument chirurgical
EP96912678A Withdrawn EP0959909A1 (fr) 1995-04-11 1996-04-10 Appareil pour reguler le debit de fluide dans un instrument chirurgical et pour reguler sa temperature

Family Applications After (1)

Application Number Title Priority Date Filing Date
EP96912678A Withdrawn EP0959909A1 (fr) 1995-04-11 1996-04-10 Appareil pour reguler le debit de fluide dans un instrument chirurgical et pour reguler sa temperature

Country Status (4)

Country Link
US (1) US5569188A (fr)
EP (2) EP0988865A3 (fr)
AU (1) AU5540796A (fr)
WO (1) WO1996032144A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005110229A1 (fr) * 2004-04-15 2005-11-24 Alcon, Inc. Controle de l'etat thermique pour faire varier le fonctionnement de la pointe d'une aiguille ultrasonique d'un instrument chirurgical
EP1891998A1 (fr) * 2006-08-24 2008-02-27 Alka Kumar Système d'aspiration chirurgicale
WO2012156140A1 (fr) * 2011-05-13 2012-11-22 Paul Hartmann Ag Dispositif de production d'une pression négative pour le traitement des plaies par pression négative
US8423126B2 (en) 2003-01-29 2013-04-16 Novartis Ag Monitoring thermal conditions to vary operation of an ultrasonic needle tip of a surgical instrument

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US5569188A (en) 1996-10-29
AU5540796A (en) 1996-10-30
EP0959909A1 (fr) 1999-12-01
EP0988865A3 (fr) 2000-05-17
EP0959909A4 (fr) 1999-12-01
WO1996032144A1 (fr) 1996-10-17

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